OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing

TIME: READING: 5 MINUTES
WRITING : 40 MINUTES

Read the case notes below and complete the writing task which follows.

Notes:

You are a registered nurse working at The New Victoria Hospital. Your patient, Ms. Anna
Dijana, is being discharged today.

Patient: Anna Dijana

Age: 42 year old

Admitted: 15th July 2018

Discharge: 25th July 2018

Diagnosis: R proximal tibia fracture & lateral tibial plateau fracture, Compartment
syndrome

Treatment: External-Fixation, fasciotomies R lower leg

Past medical history: Seizures on Carbamazepine

Medical Background:

 On 15th July 2018, right knee pain after falling off stairs
 Unable to bear weight on R leg
Social background:

 School teacher, married with two children.

 Non-smoker, social drinker.

Medical management and progress:

 Pt was rushed to OR for two-incision (four-compartment) fasciotomies R lower leg

 PostOp > fractures stabilized w/ external fixator & fasciotomies performed
 Pain medications

Nursing management and progress:

 Wound vac on fasciotomy incisions

 The wound and drainage from the wound assessed for signs of infection

Assessment:

 Patient is free of infection.

 Wound is red in color, free of drainage, no odor or redness.
 No swelling or pain. Vital signs are normal.
 Patient is resting comfortably.

Discharge plan:

Patient teaching about the wound site, signs and symptoms of infection and to notify a
nurse immediately if anything changes. teach the patient how to keep the area sterile by
keeping blankets and clothing out of reach of the wound, resting the extremity, body part.
Advising any visitors of the same factors. Teach the patient about the expected drainage.

Writing Task:

Using the information given in the case notes, write a letter of discharge to Ms. Cathy Ina,
the community nurse at Baillieston Community Care, informing her about the patient’s
condition and her medical and nursing needs. Address your letter to Ms. Cathy Ina,
Community Nurse, 6 Buchanan St, Glasgow G69 6DY, UK.
In your answer:

● Expand the relevant notes into complete sentences

● Do not use note form
● Use letter format

The body of the letter should be approximately 180–200 words.

OET2.com
OCCUPAT IONAL ENGLISH TEST

WRITING SUB-TEST: Nursing

TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES

Read the case notes below and complete the writing task which follows.

NOTES:

Ms.Robert De Niro is admitted to the emergency department where you are

working as a registered nurse.

NAME: Ms. Robert De Niro

AGE: 25 Years
PROFESSION: Accountant
NEXT OF KTN: Mother
SOCIAL HISTORY: Single, lives with mother
PAST MEDICAL HISTORY: No drug overdose
No drug allergies
No history of mental illness
No medical issues

19 April 2021:
Patient presented with slurred speech, headache, and diaphoresis after
consumption of 20 tablets of paracetamol after taking 1 bottle of wine

ASSESMENT:
• Vomiting- 2x , drowsy, pale
• Vital signs -BP 100/70, RR 12/mt, SPO2-98%
• Responds to verbal commands
• GCS normal
NURSING MANAGEMENT:
• Admitted for observation
• Blood tests [AST, ALT, TSH, S.Creatinine, S. paracetamol concentration]
• Chest X-ray, Urine test
• Vitals, GCS hourly
• Antidote N acetylcysteine in NS

20 April 2021:
• Patient conscious
• Appears pale
• Feels drowsy
• Vomiting subsided, IV stopped
• Tolerates oral liquids and soft diet
• Shows disinterested in Life
• Plan for discharge tomorrow if investigation reports are normal

DISCHARGE PLAN:
• Review with toxicologist
• Referral to psychiatrist for assessment and ongoing care

END PART

WRITING TASK:

Using the information given in the case notes, write a referral letter Dr Ida
Scudder, Psychiatrist, Outpatient clinic, Newtown Hospital

In your answer:
 Expand the relevant notes into complete sentences
 Do not use note form
 Use letter format

The body of the letter should be approximately 180–200 words.